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PATHOPHYSIOLOGY (Normal Spontaneous Vaginal Delivery)

HOST AGENT
ENVIRONMENT
Female
Therapeutic Environment
18 years old Fertilization
( Union of sperm and ovum )

Zygote - Unicellular
( Intermingling of haploid paternal 23 X or Y and maternal 23 X chromosomes )

Series of Mitotic Cell division - Cleavage


( In 24 hours become two cell organism )

In 72 hours become 16 cell organism called Morula

Morula enters the uterus on the 3rd day through peristaltic movement

Separate into two parts by fluid from the uterus on the 4th day

The outer layer gave rise to the placenta The inner layer gave rise to the embryo
( trophoblast ) ( embryoblast )

blastocytes ataches to endometrium on the 6th day


Implantation

Embryonic development begins during second week continues


through
the eighth week

3 Stages
• 1 stage – increase in cell number and with
st
Fetal Development is from ninth week to birth
elaboration of cell products

• 2ndstage – morphogenesis / includes mass cell Newborn baby via Vaginal Delivery
movement

• 3rdstage – differentiation or maturation of


physiologic processes
NCP
Problem and cues Diagnosis Objective Intervention Rationale Evaluation
Subjective • Risk for uterine Short-term Goal Independent • Alterations from • No redness or
• minimal infection • Vital signs, normal may be anomalous
• lochial r/t lochia • understanding • lochia signs of discharge
and infection, is present
discharge episiotomy of risk (character, retained at
verbalized factors. amount, odor & fragments episiotomy
• Identify or sub involution line;
presence of
Objective Interventions of the uterus. lochial
clots), fundal • Appropriate self discharge
• with firm & & demonstrate
techniques height, & care of the has no
• contacted foul odor;
to prevent status of perineum in
• uterus temperature
risk of postpartum
• NSD c infection. episiotomy were patients return to normal
• episiotomy Long-term Goal monitored. reduces the risk range.
• used • Proper perineal of
• single pad • timely wound care & hygiene bacterial
• for 12 hrs • Healing. were invasion.
Continue Antiseptic
• T = 37°C reinforced.
feminine
to be free • Emphasized
of any wash or clean
early warm
symptoms of ambulation &
infection water may be
beginning used.
during postaprtal
postpartum exercises with • Mothers who had
period. resumption of NSD
normal are allowed to
activities as ambulate 4 to 8
tolerated. hrs
after childbirth.
• Encouraged Circulation of
to eat foods blood is
that are rich promoted
in protein & through regular
vitamin C. movements thus
• Enough rest & it
• sleep was also helps in the
healing process;
• advised.
prevents
Dependent
constipation,
• Intake of circulatory
problems &
antibacterial urinary
problems;
medications promote
such as rapid recovery;
amoxicillin & hastens drainage
of
cephalexin as lochia; improves
per doctor’s GI
& urinary
order & advise.
function;
& provide a
sense
of well-being.
• Vitamin C is
known to
prevent
infection; citrus
fruits are rich in
vitamin C.
Protein
is needed for
tissue repair &
regeneration;
meat products,
nuts
& legumes are
rich
sources of which.
• This promotes
healing by
reducing
basal metabolic
rate & allowing
oxygen &
nutrients
to be utilized for
tissue growth,
healing &
regeneration.
• Antibiotics are
used to treat &
prevent
infections
caused by
susceptible
pathogens in
skin
structure
infections

Problem and cues Diagnosis Objective Intervention Rationale Evaluation


Subjective • Health-seeking • The parents Independent • In some cases • Parents
• “Bahala na behaviors will… • Health especially that have
• Lola nia sa r/t express teaching of altered
needs of a desires to on newborn the 1st time their home
kanya (baby)
normal change care parents, they & lifestyle
magalaga,” newborn lifestyle, was given. have to
as activities & • Schedule of questions & accommodate
verbalized environment care was doubts the
to achieve discussed on how to care newborn;
by the
the optimum between the for they
mother. health of their newborn; uttered
parents.
• “Hindi their • Advise on the through such with
• kase newborn. newborn’s interaction assurance
• participate safety was these their
marunong can all be ability to
in planning noted.
magpalit ng for cleared care for
• Follow-up
damit ng alterations examinations up & issues will their
baby,” in after discharge be newborn.
environment, for the settled.
exclaimed by
lifestyle & newborn • This is to
the father. activities. ensure
& mother were
• seek health scheduled. consistency
Objective resources to with
• NSD help in Dependent regards to the
educating • Appointment & care
themselves visit for a they will be
with the first newborn giving
proper care assessment to the
for newborn usually 2 to 6 newborn.
weeks after • This is to
delivery. strengthen
their
commitment in
taking the role
as
parents.
• Clinical visit for
the newborn’s
assessment is
very
important. This
is
the beginning
of
the health
program
of the child
that
will keep the
child’s
wellness.
Aside from
newborn
care, family
planning
methods is
discussed
during
these
appointments